Hiperparatiroidismo secundario a enfermedad renal crónica

Abstract

Renal disease is one of the most common pathologies that present in the daily clinic and it is a great challenge to timely diagnosis since the symptomatology appears when renal damage exceeds 75%, which is why most asymptomatic patients silently evolve even a chronic kidney disease. The kidney is one of the most important organs that the body has, since its functioning is vital and in it, not only the filtration and drainage of the body occurs, but also the control of hormones, vitamins, electrolytes and the acidic relationship bases, everything that can generate effects in other organs or glands of the body since it is the case of the parathyroids. When a large amount of phosphorus accumulates in the body, it causes damage to 1,25- dihydroxycholecalciferol, which is responsible for synthesizing vitamin D, while a decrease in calcium in the blood occurs through the which activates the paratohormone causing the osteoclasts to activate to release calcium, but there having not been vitamin D that binds calcium, there is still a greater production of paratohormone; Having spent a lot of time in this process, there is a hypertrophy of the parathyroid gland and therefore an excess of parathyroid hormone in the blood. The 9-month-old puppy is presented to the clinical patient, admitted to the clinic for constant vomiting, inappetence, abdominal pain and decay, physical examination is marked halitosis, dehydration, abdominal pain, rapid ultrasound, measurement of nitrogen blood urea, creatinine, phosphorate and calcium, which are altered, an inspection is made in the jaw because it has a foul odor, thinking that the jaw has mobility without crepitancias and their teeth in thesame way, but without pain; relating the results of the diagnosis plan with the symptoms presented, decides the definitive diagnosis. By decision of the owner, euthanasia is performed to avoid the agonizing suffering of the patient, since more than 95% of their kidneys were affected